Organization Active NPI

Holiday's Adult Care at Home

Doing business as Palena Holiday

  • Home Health Agency
  • Jackson, MI
National Provider Identifier
1235908724
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLIDAY'S ADULT CARE AT HOME
Doing business as
Holidays adult care at home
Palena Holiday
Practice address
553 Woodward Ave
Jackson, MI 49201-1019
Phone
(517) 240-8275
Fax
(517) 962-5002
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLIDAY'S ADULT CARE AT HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Palena Angela Holiday, OWNERNPI 1295144889
Title
Owner
Phone
(517) 240-8275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

553 Woodward Ave
Jackson, MI 49201-1019

Mailing address

553 Woodward Ave
Jackson, MI 49201-1019
Phone (517) 240-8275

Other practice location 1

553 Woodward Ave
Jackson, MI 49201-1019
Phone (517) 240-8275

Other names 3

  • Holiday's Adult Care At Home Other name
  • Holidays adult care at home Doing business as
  • Palena Holiday Doing business as

National Provider Directory

National Provider Directory
Part of
Holiday's Adult Care at Home

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1235908724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 WOODWARD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011019",
            "telephone_number": "517-240-8275",
            "fax_number": "517-962-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 WOODWARD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011019",
            "telephone_number": "517-240-8275",
            "fax_number": "517-962-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011019",
            "country_code": "US",
            "telephone_number": "517-240-8275",
            "fax_number": "517-962-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLIDAY'S ADULT CARE AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLIDAY'S ADULT CARE AT HOME",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "HOLIDAY",
        "authorized_official_first_name": "PALENA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-240-8275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday's Adult Care At Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holidays adult care at home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palena Holiday",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holiday's Adult Care At Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.